Morgan Modaffare
Behavior Analyst Technician/Technologist
3847 Pine Grove Ave Ste B
Fort Gratiot
, Michigan 48059-4265
Morgan Modaffare
Behavior Analyst Technician/Technologist
3847 Pine Grove Ave Ste B
Fort Gratiot
, Michigan 48059-4265
(586) 228-9991
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About
Features
Specialties
- Behavior Analyst
- Technician/Technologist
Languages spoken
- English
Location
First Address
- Morgan Modaffare
- 3847 Pine Grove Ave Ste B
- Fort Gratiot, MI
- Zip : 48059-4265
- Phone : (586) 228-9991
Second Address
- Morgan Modaffare
- 3847 Pine Grove Ave Ste B
- Fort Gratiot, MI
- Zip : 48059-4265
- Phone : (586) 228-9991
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103K00000X | Behavior Analyst | ||
| N | 156F00000X | Technician/Technologist |
National Provider Identifier
| NPI | 1063923811 |
|---|---|
| Provider Name | Morgan Modaffare |
| First Address | Fort Gratiot, MI 48059-4265 |
| Second Address | Fort Gratiot, MI 48059-4265 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/10/2017 |
| Last Update Date | 03/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.